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Edited Transcript of OMCL earnings conference call or presentation 26-Apr-18 8:30pm GMT

Q1 2018 Omnicell Inc Earnings Call

MOUNTAIN VIEW Apr 30, 2018 (Thomson StreetEvents) -- Edited Transcript of Omnicell Inc earnings conference call or presentation Thursday, April 26, 2018 at 8:30:00pm GMT

TEXT version of Transcript

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Corporate Participants

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* Peter J. Kuipers

Omnicell, Inc. - Executive VP & CFO

* Randall A. Lipps

Omnicell, Inc. - Founder, Executive Chairman, President & CEO

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Conference Call Participants

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* Eugene Mark Mannheimer

Dougherty & Company LLC, Research Division - Senior Research Analyst of Healthcare

* James John Stockton

Wells Fargo Securities, LLC, Research Division - Director & Senior Equity Research Analyst

* Lucas Baranowski

* Mohan A. Naidu

Oppenheimer & Co. Inc., Research Division - MD and Senior Analyst

* Nina D. Deka

Piper Jaffray Companies, Research Division - Research Analyst

* Raymond Alexander Myers

The Benchmark Company, LLC, Research Division - Research Analyst

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Presentation

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Operator [1]

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Good afternoon. My name is Jason, and I'll be your conference operator today. At this time, I would like to welcome everyone to the Omnicell First Quarter 2008 (sic) [2018] Earnings Conference Call. (Operator Instructions) Thank you.

I would now like to turn the call over to our host, Mr. Peter Kuipers, Chief Financial Officer. Sir, you may begin your call.

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Peter J. Kuipers, Omnicell, Inc. - Executive VP & CFO [2]

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Thank you. Good afternoon, and welcome to the Omnicell First Quarter 2018 Results Conference Call. Joining me today is Randall Lipps, Omnicell Founder, Chairman, President and CEO.

This call will include forward-looking statements subject to risks, uncertainties and other factors that could cause actual results to differ materially from those expressed or implied.

For a more detailed description of the risks that impact these forward-looking statements, please refer to the information in our press release today -- issued today, in the Omnicell annual report on Form 10-K filed with the SEC on February 27, 2018, and in other more recent reports filed with the SEC.

Please be aware that you should not place undue reliance on any forward-looking statements made today.

The date of this conference call is April 26, 2018, and all forward-looking statements made on this call are made based on the beliefs of Omnicell as of this date only. Future events or simply the passage of time may cause these beliefs to change.

Finally, this conference call is the property of Omnicell, Inc., and any taping, auto duplication or rebroadcast without the expressed written consent of Omnicell is prohibited.

Randall will first provide an update on our business, then I will cover our results for the first quarter of 2018 and our guidance for the year.

Our first quarter financial results are included in our earnings announcements, which was released earlier today and is posted in the Investor Relations section of our website at omnicell.com. Our prepared remarks will also be posted in the same section.

Let me now turn over the call to Randall.

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Randall A. Lipps, Omnicell, Inc. - Founder, Executive Chairman, President & CEO [3]

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Good afternoon, everyone. We're excited to update you on the company's performance for the first quarter of 2018, as the business continued to progress with great momentum in innovation, customer acquisitions and financial results.

We are pleased with our advancements and innovation, as we build and expand our industry-leading medication management platform, with the goal of achieving the fully automated pharmacy.

In December last year, we announced the XR2 Automated Central Pharmacy System. The leading edge robotic XR2 is a significant step towards the fully automated central pharmacy across the full range of customer environments. Beyond upgrade potential, the XR2 represents significant greenfield opportunities.

Also in December of last year, we announced the IVX Workflow, powered by IVX Cloud. IVX is a significant technological advancement for IV Workflow processes, enabling pharmacies to safely and efficiently compound and prepare IV treatments.

We entered into additional noncancelable commercial agreements for both the XR2 and the IVX Workflow products in the first quarter and continue to see a healthy build in the pipeline.

As we communicated previously, the general availability for customer installs of the IVX Workflow and the XR2 products are in the second and third quarters of this year, respectively, contributing to the second half 2018 revenue.

Now I'd like to discuss the momentum in customer acquisitions. In summary, it's clear that we are winning in the marketplace. During the first quarter of 2018, we had a strong new and competitive conversion rate of 27% of total company bookings. This is a good indicator of the strength of the business, around 80% were competitive conversions and the remainder were from greenfield customers who had never automated before. For the 12 months ending March 31, 2018, our new and competitive conversion rate was 28%.

Omnicell XT Series continues to be very well received and accepted by customers, as we see continued fast growth in the shipped and live XT frames throughout 2018.

Our industry-leading platform across the Continuum of Care strongly aligns with current health care trends we see, where hospital systems are reducing the number of vendors and instead seeking strategic partnerships. We believe that our platform strategy also aligns well with the recent business combination trends in health care of providers, payers, retail pharmacies as well as the formation of nontraditional health care entrants.

As consolidation continues and nontraditional health care entrants grow, we are best positioned to partner with them in the area of medication management automation in a variety of care settings.

Now in the last number of years, we have successfully grown the business by implementing 3 scalable consistent growth strategies. First, our growth through the differentiated Omnicell platform, and that is, of course, deepened and broadened with our large product line. These large product lines create digital streams of data which then constitute to a place for our Performance Center to do an analysis of their performance, enabling our customers to use them at the highest level of performance.

Growth in new markets and growth via acquisitions. In the first quarter of 2018, we continued to experience considerable wins and have added notable accounts to our customer base under our first strategic growth pillar of differentiated platform. With numerous large competitive conversions during the quarter, we believe that we gained further market share, a continuation of the trend of market share gain and momentum we have experienced for many years. We also cultivated strong wins with prominent new customers as well as significant strategic deals with existing customers.

Increasingly, we are seeing the power of the Omnicell platform with over 75% of our multimillion-dollar bookings in the quarter, adopting multiple products on the Omnicell platform.

Strategic platform wins this quarter are Carle Foundation in Urbana, Illinois. Carle will be leveraging Omnicell's full platform of solutions, including the XT Series, the XR2 automated robot and IV Solutions.

North Kansas City Hospital, our new Omnicell customer located in Kansas City, Missouri, chose Omnicell and is adopting the Omnicell platform, including XT, IVX and the Performance Center.

LifeBridge Health, located in Northwest Baltimore, has also chosen to leverage Omnicell's differentiated platform to support their conversion to a full cartless pharmacy model.

We are pleased to see increased momentum in the adoption of the real-time Performance Center on the cloud. Several customers, including Wake Forest, Baptist Medical Center in North Carolina and Brigham and Women's Hospital in Boston, have all chosen our Performance Center offering to drive improved performance and reduce costs through real-time enterprise-wide management of their pharmacy operation.

In the first quarter, we have signed contracts that will more than double the number of facilities using the Performance Center.

We also continued to see growth for our IV automation solutions, as a growing number of hospitals and health care systems across North America have chosen our robotic sterile compounding technology to help enhance safety, improve therapy, reduce cost and facilitate compliance in the IV operations.

These customers include Eskenazi in Indianapolis, Indiana. Eskenazi has previously considered a competitive solution, but chose Omnicell because the all-in-one approach supports greater efficiency in the IV room.

Methodist Le Bonheur Healthcare, a 6-hospital system in Memphis, Tennessee, is adopting Omnicell solutions to support patient-safety initiatives, eliminating outsourced production of IV, which will significantly contribute to their goal of achieving an annual savings of over $1 million.

Our second strategic pillar of expanding into new markets also fueled growth in the last several years, which we believe sets us up well for the years to come. Aneurin Bevan University Hospital Board (sic) [Aneurin Bevan University Health Board], a large health board in Wales, United Kingdom, has chosen to adopt Omnicell Automated Dispensing systems throughout the theater suites in their hospital for supply control.

Expansion outside the U.S. also includes products designed specifically to support the workflows used in those regions. Demonstrating our commitment to markets outside the U.S., we recently began accepting orders for our new RDX Essential. This is a new robot specifically designed for the European retail pharmacy market.

Our third strategic pillar of expanding our presence and relevance through acquisitions has also continued to deliver great results. We are seeing notable cross-selling momentum within the total product platform and combined customer base, specifically for our IV and Performance Center solutions.

We believe that our 3 pillar strategy established the foundation for our success, and continues to launch future growth and the scaling of the business.

Now let me turn it back over to Peter for some update on the financials.

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Peter J. Kuipers, Omnicell, Inc. - Executive VP & CFO [4]

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Thank you, Randall. Our first quarter 2018 GAAP revenue of $183 million was up 23% year-over-year. The first quarter earnings per share in accordance with GAAP was $0.07 and is up from a loss per share of $0.28 in the first quarter of 2017.

In addition to GAAP financial results, we report our results on a non-GAAP basis, which excludes stock compensation expense and amortization of intangible assets associated with acquisitions, onetime acquisition-related expenses, the acquisition-accounting impacts related to deferred revenue and inventory fair value adjustments and tax reform benefit impacts from the Tax Cuts and Jobs Act of 2017.

We use non-GAAP financial statements in addition to GAAP financial statements, because we believe it is useful for investors to understand acquisition amortization-related costs and noncash stock compensation expenses that are a component of our reported results as well as onetime events and onetime acquisition and restructuring-related expenses.

The full reconciliation of our GAAP to non-GAAP results is included in our first quarter earnings press release and is posted on our website.

For the first quarter, non-GAAP revenue was $183 million, which is above the guidance range of $174 million to $179 million that we provided in our fourth quarter results earnings call.

The strength was mostly driven by earlier timing of completion of implementations in North America as well as general momentum in the business.

Revenue strength and strong cost management resulted in non-GAAP EPS for the first quarter of $0.29 per share, which is above our guidance range of $0.22 to $0.28 and above consensus.

Our business is also reported in segments, consisting of Automation and Analytics and Medication Adherence. Automation and Analytics consists of our XT and OmniRx automated dispensing cabinets, Anesthesia Workstations, Central Pharmacy, Omnicell Supply, Omnicell Analytics, Performance Center and MACH4 Robotic Dispensing Systems. Our acquisitions of Aventec, MACH4, Aesynt and InPharmics are included in this segment.

The Medication Adherence segment consists of a broad platform of subscription software, medication packaging and equipment used by pharmacists to create enhanced packages that assist retail pharmacies in helping patients to stay adherent to the medication regimens. Our acquisitions of MTS, SurgiChem and Ateb are included in the Medication Adherence segment.

We report certain corporate expenses that cannot be easily applied to either segment separately.

On a segment basis, Automation and Analytics segment contributed $150 million in GAAP revenue in first quarter of 2018, up from $122 million in the first quarter of 2017.

GAAP operating income of $25 million in the first quarter of 2018 compares to $5 million of GAAP operating income in the same quarter last year.

Non-GAAP operating income was $32 million for the first quarter of 2018 compares to $50 million of non-GAAP operating income in the same quarter last year.

The Medication Adherence segment contributed $31 million in GAAP revenue in the first quarter of 2018, up from $26 million in the first quarter of 2017.

GAAP operating loss of $1 million in the first quarter of 2018 compares to $2 million of a GAAP operating loss in the same quarter last year. Non-GAAP operating income in the first quarter of 2018 and 2017 was $1 million. Non-GAAP common expenses were $90 million in the first quarter of 2018, flat from the fourth quarter of 2017.

Non-GAAP other income and expenses for the first quarter was a net loss of approximately $2 million, primarily consisting of interest expense on the outstanding loan balance.

Let's now move to the balance sheet and cash flow. The first quarter 2018 cash flow from operations was $19 million, and included a use of cash for a build in inventory for the current and future implementations, which was more than offset by an increase in deferred revenue.

Inventories at March 31, 2018 were $102 million, up $6 million from last quarter, primarily driven by XT and PBM series inventory builds for future quarter installs as well as the first XR2 and IVX units for beta customers.

With the market introductions of the XT Series, the XR2 pharmacy robot and the IVX Workflow powered by IVX Cloud, we now have 3 concurrent product introductions that we see ramping over the years. First in bookings, then in backlog and then, hopefully, into revenue.

Accounts receivable days sales outstanding for the first quarter were 97 days, up 7 days from the fourth quarter of 2017. The increase in accounts receivable days sales outstanding was mostly driven by lower sequential sales. It's good to remember that based on our customer agreements, we largely invoice upon shipments.

In the first quarter of 2018, our cash balance increased from $32 million at December 31, 2017, to $44 million at March 31, 2018, after paying out $2.5 million on our loan facility.

During the quarter, we did not sell shares of common stock at the market offering.

As of March 31, 2018, we had $215 million of outstanding funded debt, and our loan leverage measured as outstanding total funded loan balance over the last 12 months of bank EBITDA was approximately 2.2. Our headcount was 2,365 as of March 31, 2018, or up 18 from December 31, 2017.

Let's now move to guidance. The specific guidance for -- sorry, the specific guidance for the second quarter of 2018 is as follows: we expect the second quarter 2018 non-GAAP revenue to be between $185 million and $190 million.

Based on the committed implementation schedules of bookings in the March 31, 2018, backlog, including the record number of multimillion-dollar fourth quarter deals and to a lesser extent, revenue from the new products, XR2 and IVX, we do anticipate a steady quarterly revenue ramp throughout the full year of 2018.

We expect the second quarter of 2018 non-GAAP EPS to be between $0.36 and $0.42 per share, consistent with our year-to-date plan.

Our full year 2008 (sic) [2018] guidance is unchanged. We expect 2018 product bookings to be between $625 million and $660 million, representing a 13% organic growth rate when taking the midpoint of the guidance range.

We expect 2018 non-GAAP revenue to be between $780 million and $800 million. This represents a slightly greater than 10% organic growth rate when taking the midpoint of the guidance range.

In the first quarter of 2018, we adopted ASC 606 revenue from contacts with customers, which we showed in a reclassification of GPO fees from operating expenses to a reduction of net revenue of around $2 million in both the first quarter of 2017 and the first quarter of 2018.

As discussed previously, our 2018 guidance, which is unchanged from the fourth quarter earnings call, includes the impact of the adoption of ASC 606.

The net impact of the retroactive adoption was an increase of $0.01 in non-GAAP EPS in the first quarter of 2017 for comparison purposes.

We expect 2018 non-GAAP EPS to be between $1.85 and $2.05. When reviewing 2018 guidance, it's important to note a couple of items that are included.

For 2018, our non-GAAP results include approximately $4 million of integration expenses for Aesynt and Ateb that we do not adjust for based on our non-GAAP policy. These integration costs directly impact the non-GAAP operating margins and non-GAAP EPS, mostly consist of IT expenses for CRM, ERP and HR systems consolidations.

Lastly, for 2018, we expect interest expense related to the senior secured credit facility to be around $7 million or equivalent to a non-GAAP EPS headwind of around $0.14 per share.

Finally, for 2018, we're assuming an annual average tax rate of 21% to adjust GAAP tax expenses to non-GAAP tax expenses.

To round out our update, I will hand the call back to Randall.

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Randall A. Lipps, Omnicell, Inc. - Founder, Executive Chairman, President & CEO [5]

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Well, in summary, we had a great first quarter. We are definitely winning in the marketplace with our broader product line that's now connected to the Performance Center. We continue to have great success in the competitive conversion arena. We also have momentum in replacement sales to current customers, which, in 2018, we see that -- and predict that there will be a doubling of the bookings from XT replacement sales that we had over 2017. And as you can see, we've been developing and beginning to deploy a lot of new product lines like XR2, IVX and a new small retail robot in Europe as well.

And so we're really proud of our financial performance and continued execution of our strategy. We're witnessing fast adoption of the latest developments on the Omnicell platform. We're leveraging the cloud in our Performance Center, starting to use some Artificial Intelligence for predictive analysis. And we're really partnering with our partners to meet their KPIs together.

And that's a lot of moving pieces, a lot of extra efforts that we've made over the last 12 to 24 months. And with great execution from the Omnicell team, I want to thank them, again, for another great quarter, great work in lining us up to be successful moving forward.

So with that, I'll turn it over, operator, to questions.

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Questions and Answers

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Operator [1]

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(Operator Instructions) And your first question comes from the line of Mohan Naidu of Oppenheimer.

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Mohan A. Naidu, Oppenheimer & Co. Inc., Research Division - MD and Senior Analyst [2]

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So first on the bookings side. You said 80% is coming from competitive conversions. That seems to be pretty high compared to last quarter. Can you give us a view into what you're seeing, what's driving that? And also how much runway do you see in these conversions?

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Peter J. Kuipers, Omnicell, Inc. - Executive VP & CFO [3]

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Yes, it's continued competitive strength of our -- the strength of our platform where more and more customers that are in RFP actually want the whole platform and not just a single-point solution. And that's where the strength really comes in on the competitive conversion side. So...

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Randall A. Lipps, Omnicell, Inc. - Founder, Executive Chairman, President & CEO [4]

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So may not be any more deals, there may just be that people are adding more lines as -- get more of the platform as they make a move to convert.

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Mohan A. Naidu, Oppenheimer & Co. Inc., Research Division - MD and Senior Analyst [5]

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Got it. And also on XRT and IVX -- XR2 and IVX, so great traction to hear there. Are there meaningful expectations to add to numbers in the second half from these two lines?

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Peter J. Kuipers, Omnicell, Inc. - Executive VP & CFO [6]

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Yes, so we have some -- so first of all, it goes to the bookings, then backlog and our revenue. We have some revenue included in the second half. So the guidance that we provided, we wanted to make sure that we ramp those numbers up and execute on them. If there is upside -- if and when there is upside, then we'll adjust guidance accordingly, but that's not the case quite yet.

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Mohan A. Naidu, Oppenheimer & Co. Inc., Research Division - MD and Senior Analyst [7]

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Okay. And the reason why I ask is that you have -- with the Q2 guidance, it looks like you have a pretty steep ramp into the second half, both on the earnings side and revenue side. And I just want to see how much of that is really dependent on XR2 being online -- on time and delivering?

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Peter J. Kuipers, Omnicell, Inc. - Executive VP & CFO [8]

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There is some there. We remember that 2018 is much different than 2017, because IVX and XR2 are largely greenfield opportunities, right. So we don't really have any confirmation of backlog, et cetera, that we need to work on.

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Mohan A. Naidu, Oppenheimer & Co. Inc., Research Division - MD and Senior Analyst [9]

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Got it. Okay. Last question for me. So Randall, you mentioned consolidation in the industry. Are you seeing health systems that are consolidating that have older platforms, are -- you are the ones that are there helping them consolidate the product platforms? Like why do you think the consolidation will help you versus the competition?

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Randall A. Lipps, Omnicell, Inc. - Founder, Executive Chairman, President & CEO [10]

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Well, I think that our approach is all about total view, and that's a corporate, individual acute care view, outside the hospital view, all the way down to the patient. So -- and our ability to aggregate those pieces up and look at them almost on a patient-longitudinal basis, gives us a unique perspective to really impact what outcomes really look like. But even just basic things like supply chain, where most people -- a lot of the larger groups are creating consolidated distribution centers, where they're going to flow drugs into first, then flow them out to various hospitals in their geographic location. And so our ability to look at all the data, to track that and help them make decisions is really important. They never had that sort of strategic view of their ability to match what's in their supply chain, what they're using and how to make sure they did not only deploy it efficiently, but safely and cost-effectively. And so while -- you assume when you get bigger that one of the biggest things you're going to exercise is your supply chain leverage. That's just the basic assumption. And many of institutions have not achieved a lot of success with doing that. And they've achieved maybe better pricing, but they have not achieved operational leverage, and that's what we bring to the table. Because of our broad product lines, you can put a large XR2 robot in the distribution center, smaller robots at the locations, ADCs. We can work with their outpatient centers on med adherence and robotic packaging of drugs not just for people leaving the hospital, but people in their own hospital health plan, which needs attention. So there's just a multitude of approaches that these large groups can't get their hands around unless they have a technological partner willing to scale both vertically and broadly with them. And I believe we're the only ones that are even attempting to do that. So I think we're pretty much the answer.

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Operator [11]

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And your next question comes from the line of Jamie Stockton of Wells Fargo.

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James John Stockton, Wells Fargo Securities, LLC, Research Division - Director & Senior Equity Research Analyst [12]

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I guess, maybe just to follow-up on one of Mohan's quickly just because I'm sure there will be a focus on the second half ramp. The XR2 demand that you guys have kind of factored in, is that going to come from deals that have already been signed? Or is there still an onus on you to sign more deals to deliver that?

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Peter J. Kuipers, Omnicell, Inc. - Executive VP & CFO [13]

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For the revenue, those are mostly signed already, what we have included in the second half revenue. First deal is signed.

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Randall A. Lipps, Omnicell, Inc. - Founder, Executive Chairman, President & CEO [14]

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As well as IVX.

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Peter J. Kuipers, Omnicell, Inc. - Executive VP & CFO [15]

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Correct.

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Randall A. Lipps, Omnicell, Inc. - Founder, Executive Chairman, President & CEO [16]

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So I would just put it that I think we were conservative on XR2 and IVX contribution for the second half of the year just because they're new products. But there are no more deals that need to be signed. Well, there'll be a lot more deals signed before the end of the year in order to achieve those numbers that are in the plan, if that's helpful.

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James John Stockton, Wells Fargo Securities, LLC, Research Division - Director & Senior Equity Research Analyst [17]

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Okay, that's great. And then I've just got a couple of questions on gross margin. I guess, maybe the first one -- hold on a second. So it's definitely improved year-over-year. There was a down tick sequentially, obviously, seasonality has, I'm sure, a lot to do with that. But specifically, maybe for the services or a product category you saw that come down some sequential expense growth on a little lower revenue numbers. Is there anything going on there that you would call out as far as putting pressure on gross margin?

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Peter J. Kuipers, Omnicell, Inc. - Executive VP & CFO [18]

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No, it's mostly leverage, as you pointed out. Of course, we're starting up also. We've got some startup costs in there as well for IVX and XR2 in the first quarter.

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James John Stockton, Wells Fargo Securities, LLC, Research Division - Director & Senior Equity Research Analyst [19]

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Is there any noise left around XT transition? Any scrap costs that you guys are still having to deal with? Or are we still experiencing any inefficiencies from G4 manufacturing sticking around, anything like that?

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Peter J. Kuipers, Omnicell, Inc. - Executive VP & CFO [20]

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So we have consolidated the 3 assembly lines for ADCs, so that's behind us, if you will. I would say scrap cost is fairly modest, given our size. So yes, there's a little bit of fluctuation there quarter-to-quarter, but not much.

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James John Stockton, Wells Fargo Securities, LLC, Research Division - Director & Senior Equity Research Analyst [21]

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Okay, last question for me. The Medication Adherence segment, Ateb was, I think, inflating kind of the growth numbers last year, as you were getting the initial contribution from there. But you did continue to see a pretty solid growth rate for that now that you've anniversary-ed the Ateb acquisition even in Q1. Any color on kind of what drove the healthy year-over-year growth disproportionately in that segment?

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Peter J. Kuipers, Omnicell, Inc. - Executive VP & CFO [22]

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Well, we -- of course, we now have a full suite of -- platform now also in med adherence between the software or med synchronization and messaging, combined with the robotic automation of packaging, blister card packages that are used for med adherence. So we see some good momentum there. So maybe it kind of sticks out from an external perspective, but this is what we have planned for. So we're executing well.

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Randall A. Lipps, Omnicell, Inc. - Founder, Executive Chairman, President & CEO [23]

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So the uptake on the VBM 200 has been very good. And I think that's contributing to both more consumables, more adoptions of the programs, and then adding in the software allows those systems to work more effectively. So kind of a 3-way deal there.

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Operator [24]

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Your next question comes from the line of Nina Deka from Piper Jaffray.

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Nina D. Deka, Piper Jaffray Companies, Research Division - Research Analyst [25]

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Would you say your average deal size then is increasing? I know you mentioned some notable wins and that you have an increasing number of new deals that are more than 1 product. Is it safe to say yet that the average deal size is going up? Or are we not quite there yet?

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Peter J. Kuipers, Omnicell, Inc. - Executive VP & CFO [26]

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Yes, I would say they're going up over time. I think the point we wanted to make is that within those bigger deals, more and more the argument why we get those deals is because customers want the integrated platform and not point solutions. And we're really the only 1 in medication management automation that can provide a full platform.

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Nina D. Deka, Piper Jaffray Companies, Research Division - Research Analyst [27]

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Okay. And so as they're increasingly wanting the multiple products, are you seeing any change in the timeline of pipeline conversions? Is it taking longer to close the deals than it used to?

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Peter J. Kuipers, Omnicell, Inc. - Executive VP & CFO [28]

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Fairly stable to close to deals in the comparison from kind of from backlog to revenue. The products normally are kind of installed sequentially, so that balances out for the most part.

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Randall A. Lipps, Omnicell, Inc. - Founder, Executive Chairman, President & CEO [29]

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Just in the timeline of the booking, I don't necessarily think so. I think that we generally start the conversation off 9 months, a year early about the total platform. So you're starting out with that, I think, it goes through the normal cycle. So I feel like -- in some cases, I feel like they've been accelerated. Occasionally, you'll get a customer just looking to buy 1 product and they'll buy 2. And then they'll accelerate the whole thing. So those are kind of one-offs, but it's a good sign.

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Nina D. Deka, Piper Jaffray Companies, Research Division - Research Analyst [30]

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Okay. And then just the last one. XR2, I think was scheduled -- actually, it was IVX scheduled for general availability in April, I believe. Is that still on schedule?

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Peter J. Kuipers, Omnicell, Inc. - Executive VP & CFO [31]

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Yes, it's on schedule for this quarter, yes.

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Operator [32]

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(Operator Instructions) And your next question comes from Raymond Myers from Benchmark.

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Raymond Alexander Myers, The Benchmark Company, LLC, Research Division - Research Analyst [33]

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My first question is, last quarter, Randy, you told us that winning some very large hospital system contracts had extended the installation and revenue recognition timeframe. Can you update us on that in this quarter? Are we getting that in hand? And let us know what's happening.

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Peter J. Kuipers, Omnicell, Inc. - Executive VP & CFO [34]

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Yes, so the 3 sole-source agreements that we mentioned in the script that we had signed in the last 12 months, that's the date of the fourth quarter earnings call. So we see a steady flow of implementations from those 3 nationwide for-profit systems, and they roll out fairly steady, we would say, yes. But it is over time. So it's not...

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Randall A. Lipps, Omnicell, Inc. - Founder, Executive Chairman, President & CEO [35]

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Yes. So it's a long commitment. And initially, there may be a few things to do, but a lot of it is more in the back half of the year, where we'll see contributions from those contracts. So it's not that they're out of frame. But then sequentially, for the next 3, 4 years, we'll see even more. So I just wanted to put that in perspective last time that those large contracts didn't immediately create revenue and earnings.

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Raymond Alexander Myers, The Benchmark Company, LLC, Research Division - Research Analyst [36]

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Right. Understood. Your guidance for bookings growth is quite robust at 10% to 16% this year. But last year was a little bit light of guidance. So what gives you the confidence this year that you can attain some pretty high targets?

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Randall A. Lipps, Omnicell, Inc. - Founder, Executive Chairman, President & CEO [37]

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Well, I think, the course of -- the high beta is how many products you're rolling out and which ones are you depending on during this year to obtain revenue out of the backlog. And that's XT. And so XT has been performing really well. It's going really well both for installing and booking new customers. I think there are -- I think we need to be more prudent this year on the new products that we're rolling out. We're not building those into the plan even though they will hit this year and have some revenues. So I think that's the biggest difference that the core products that we have now that are being shipped and being in our forecast for revenue as well as what we're looking to book are in product lines that are extremely stable and not overly optimistic about when they might either get out or revenue.

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Peter J. Kuipers, Omnicell, Inc. - Executive VP & CFO [38]

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So Ray, in comparison -- so comparing the bookings numbers expected for '18 versus '17. So we're -- we see bookings numbers for XT, replacements or upgrades at existing customers more than doubling, right. So that's a big factor as well in the growth rate year-over-year.

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Raymond Alexander Myers, The Benchmark Company, LLC, Research Division - Research Analyst [39]

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Great. And did I hear you correctly that you were saying that the IVX and XR2 are not included in the bookings growth that you described?

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Peter J. Kuipers, Omnicell, Inc. - Executive VP & CFO [40]

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Well, there are some included, but they're fairly modest for both bookings and -- yes.

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Raymond Alexander Myers, The Benchmark Company, LLC, Research Division - Research Analyst [41]

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Great. You mentioned that in Q1, you signed contracts to more than double Performance Center. That's a fairly bold statement to double a product in 1 quarter. Can you elaborate on that?

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Peter J. Kuipers, Omnicell, Inc. - Executive VP & CFO [42]

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Yes. So we signed multiple contracts in the first quarter of '18. We think the role or strategic importance of Performance Center is definitely increasing. We actually have opened an executive briefing center in the Pittsburgh area, where we actually start off for customer visits with the Performance Center, demonstrating how to manage medication, how to obtain savings, et cetera, and then we also show, of course, the full suite, and we end again in the Performance Center analytics room. So with that, we see really a good uptake from a Performance Center perspective and is really an integral piece of our platform.

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Raymond Alexander Myers, The Benchmark Company, LLC, Research Division - Research Analyst [43]

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So what changed in Q1 that you were able to double, I mean, in such a short amount of time?

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Peter J. Kuipers, Omnicell, Inc. - Executive VP & CFO [44]

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It's a matter of the pipeline and the deals got signed in the first quarter, right. So you got...

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Randall A. Lipps, Omnicell, Inc. - Founder, Executive Chairman, President & CEO [45]

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I think there has been a little bit of a transition. I think, people would kind of look at it as, you buy our systems and then you put a capstone software product on later. And I think we have swapped that around. Now people come in and say, look, first thing you do is you put in the platform that's going to drive all the results, and then you feed the systems and connect them in as you go over time. And so it's not a sort of a post aftermarket large system sale, it's an upfront piece. And that's been a pretty big shift in the way we will sell and present and help customers really get results right off the bat with whatever systems they have.

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Raymond Alexander Myers, The Benchmark Company, LLC, Research Division - Research Analyst [46]

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Yes, that's great. Is there any way that you can quantify the contribution expected from Performance Center this year?

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Peter J. Kuipers, Omnicell, Inc. - Executive VP & CFO [47]

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We're not breaking out product lines, but we are, I think we discussed before, looking at potentially disclosing the financial statements, the pure software revenue and the recurring revenue that we have. So we might choose to do that in the future.

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Operator [48]

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And your next question comes from the line of Matt Hewitt from Craig-Hallum Capital Group.

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Lucas Baranowski, [49]

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Yes. This is Lucas Baranowski on for Matt Hewitt. And my question is, last quarter, you mentioned that you made some changes to your contracts to encourage customers to keep implementations on schedule. Have you begun to see a benefit from those changes?

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Peter J. Kuipers, Omnicell, Inc. - Executive VP & CFO [50]

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Yes. Definitely, you can see that we exceeded the revenue in the first quarter from guidance, what we initially thought. And the rigor around both the contracts and also our operating rigor, the way we handle and manage implementations together with our partners, is definitely improving. So it is showing in the results.

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Lucas Baranowski, [51]

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Okay, that's helpful. And then maybe just an update on the international markets. You recently attended a European conference, so maybe you could just update us on the prospects you see in Europe, the Middle East and Asia Pacific?

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Randall A. Lipps, Omnicell, Inc. - Founder, Executive Chairman, President & CEO [52]

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Well, I think, there are some of the same issues, consolidation and in many cases, there are large provider networks there. And so again, we're a little bit further behind where we are in the U.S. But bringing a platform solution to these environments yields the same kinds of results, because they have the same kinds of problems over supply chain, visibility, proper drug handling and good choices to make. And so we feel like that strategy is going to continue to help us in both the Middle East, the U.K. and Europe. Let me also mention, we just released our latest RDS small retail robot that we think is really going to make a difference for us being able to penetrate higher levels in the market, because our robot was really designed for larger-scale operations, and many pharmacies and retail pharmacies in Europe are small. And so this allows us to address the full market.

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Operator [53]

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And your last question for today comes from Gene Mannheimer from Dougherty & Company.

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Eugene Mark Mannheimer, Dougherty & Company LLC, Research Division - Senior Research Analyst of Healthcare [54]

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So just building on that last comment, Randy, and I guess, you call it the RDX Essential, the small robot for the European pharmacy. Is that -- just to clarify, is that something you've developed yourselves? Or are you partnering there with a third-party on that? And what's the addressable market like?

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Randall A. Lipps, Omnicell, Inc. - Founder, Executive Chairman, President & CEO [55]

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That's something that we have fully developed. And the European market sort of on just -- is probably close to 10,000 to 15,000 small retail operations and -- just in Germany, France, U.K. maybe. And it's not even -- it's like 20% penetrated. So it's a fairly small penetration of automation for these retail pharmacies. And they're becoming pretty much a standard operating piece of equipment in many of them in order to address the ability to scale without adding additional labor in these retail situations. So we feel like it was a good move for our business.

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Eugene Mark Mannheimer, Dougherty & Company LLC, Research Division - Senior Research Analyst of Healthcare [56]

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Sounds like a good addition. And then with respect to your sales force and how that's aligned now with all the new products you've introduced like XR2 and IVX, as examples. Have you either augmented the headcount or are you -- have the specific dedicated groups of sales forces charged with selling particular solutions? How is that looking now?

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Randall A. Lipps, Omnicell, Inc. - Founder, Executive Chairman, President & CEO [57]

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Yes, obviously, as our customer base has changed, we've had to morph our sales force. And our whole customer engagement with customers is totally different. And that's all about platform selling. So it's really key that as we approach customers and understand about what their total needs are, not just a specific solution, you'll always need the specialist, if you will. But the evolving contact with the customer is really about getting at a very high level and really driving KPIs that the organization has and sending both your people and the customer's organization along those same alignments. So we've seen really good traction from taking on that prospect. And so we'll be morphing our sales force over in our go-to-market as we see more of these transitions come out.

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Operator [58]

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And I would now like to turn the call back over to Mr. Randall Lipps, for closing remarks.

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Randall A. Lipps, Omnicell, Inc. - Founder, Executive Chairman, President & CEO [59]

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Well, thank you for joining us today. And it was really great to have just a really solid quarter back in the groove. And I really want to thank the employees and our customers for really helping us to improve health care for everyone.

See you next time.

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Operator [60]

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Ladies and gentlemen, this does conclude today's conference call. You may now disconnect.